Korean journal of ophthalmology : KJO · 2026
Clinical Outcomes of Sutureless Scleral-Fixated Intra-ocular Lenses with and without Fibrin Glue.
СтатьяНазвание и аннотация: Перевод в очереди
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Srivastava Shachi, Yadav Niraj Kumar, Reddy Revanth, Bhawesh Kumar, Khandelwal Aastha, Kumar Sandeep, Rohatgi Jolly, Singh Mehak Preet
Аннотация
PURPOSE: To compare the clinical outcomes of sutureless scleral-fixated posterior chamber intraocular lens (SFIOL) implantation performed with fibrin glue versus without fibrin glue in eyes with inadequate posterior capsular support.
METHODS: This prospective, randomized, comparative clinical study included 40 eyes of 40 patients requiring secondary intraocular lens implantation. Patients were randomly allocated into two groups: Group A (n = 20) underwent glued sutureless SFIOL implantation using fibrin glue, and Group B (n = 20) underwent non-glued sutureless SFIOL implantation. Preoperative evaluation included visual acuity, intraocular pressure (IOP), anterior segment assessment, corneal pachymetry, specular microscopy, and posterior segment examination. Outcome measures included surgical time, intra-operative complications, postoperative visual acuity, anterior segment parameters, IOP changes, scleral flap healing, pupillary abnormalities, and IOL centration. Patients were followed for a minimum of six months.
RESULTS: Both groups demonstrated significant improvement in best-corrected visual acuity postoperatively (p < 0.001), with no significant intergroup difference at final follow-up (p = 0.853). Mean surgical time was longer in the glued IOL group but was not statistically significant (p = 0.361). A statistically significant postoperative rise in IOP was observed only in the glued IOL group (p = 0.049). Endothelial cell loss, corneal clarity, anterior chamber depth changes, and IOL centration were comparable between the two groups. Intra-operative and postoperative complications were generally mild and manageable.
CONCLUSION: Both glued and non-glued sutureless scleral-fixated IOL techniques provide comparable visual and anatomical outcomes in eyes lacking capsular support. The non-glued technique offers a cost-effective alternative without compromising safety or efficacy and may be particularly advantageous in resource-limited settings.
METHODS: This prospective, randomized, comparative clinical study included 40 eyes of 40 patients requiring secondary intraocular lens implantation. Patients were randomly allocated into two groups: Group A (n = 20) underwent glued sutureless SFIOL implantation using fibrin glue, and Group B (n = 20) underwent non-glued sutureless SFIOL implantation. Preoperative evaluation included visual acuity, intraocular pressure (IOP), anterior segment assessment, corneal pachymetry, specular microscopy, and posterior segment examination. Outcome measures included surgical time, intra-operative complications, postoperative visual acuity, anterior segment parameters, IOP changes, scleral flap healing, pupillary abnormalities, and IOL centration. Patients were followed for a minimum of six months.
RESULTS: Both groups demonstrated significant improvement in best-corrected visual acuity postoperatively (p < 0.001), with no significant intergroup difference at final follow-up (p = 0.853). Mean surgical time was longer in the glued IOL group but was not statistically significant (p = 0.361). A statistically significant postoperative rise in IOP was observed only in the glued IOL group (p = 0.049). Endothelial cell loss, corneal clarity, anterior chamber depth changes, and IOL centration were comparable between the two groups. Intra-operative and postoperative complications were generally mild and manageable.
CONCLUSION: Both glued and non-glued sutureless scleral-fixated IOL techniques provide comparable visual and anatomical outcomes in eyes lacking capsular support. The non-glued technique offers a cost-effective alternative without compromising safety or efficacy and may be particularly advantageous in resource-limited settings.